功能锻炼结合药物治疗在治疗Ⅲ型前列腺炎过程中的效果分析

Functional exercise combined with drug therapy in treatment of type Ⅲ prostatitis

目的探讨功能锻炼联合药物治疗对Ⅲ型前列腺炎治疗临床效果及意义。方法选取2013年7月至2014年3月在我院门诊诊治的Ⅲ型前列腺炎患者80例为研究对象，采用随机抽签分组方法将其分成对照组和观察组，每组40例，对照组采用单纯药物治疗，观察组在药物治疗基础上加用盆底肌锻炼疗法，对所有患者进行3个月的治疗随访，比较两组患者治疗疗效、NIH-CPSI（美国国立卫生研究院慢性前列腺炎评分）及前列腺液常规白细胞计数，以此评价功能锻炼联合药物对Ⅲ型前列腺炎治疗效果。结果经过3个月的治疗后，观察组总有效率为95．00％，明显高于对照组的67．50％，两组比较差异有统计学意义（P〈0．05）；观察组NIH-GPSI评分较治疗前明显降低，且较对照组治疗后也显著降低，比较差异有统计学意义（P〈0．05），而对照组NIH-CPSI评分较治疗前改善不明显；观察组和对照组前列腺液白细胞计数较治疗前均明显降低，比较差异有统计学意义（P〈O．05），但治疗后观察组较对照组改善更明显，两组比较差异有统计学意义（P〈0．05）。结论盆底肌锻炼配合药物治疗Ⅲ型前列腺炎比单纯采用药物治疗临床治疗效果更为显著，且实施简单，值得在临床中推广应用。

Objective To explore the clinical efficacy and significance of functional exercise combined with drug therapy for type III prostatitis. Method 80 patients treated at the outpatient department of our hospital from July, 2013 to March, 2014 were selected as study objects and randomly divided into an observation group and a control group, 40 cases for each group. The control group were treated with drug; in addition, the observation group were treated with pelvic floor muscle training therapy. All patients were followed up for 3 months. The treatment efficacy, NIH-CPSI （score American National Institutes of Health chronic prostatitis）, and white blood cell count in prostatic fluid were compared between these two groups to evaluate the effect of functional exercise with drugs in the treatment of type III prostatitis. Results After 3 months＇ treatment, the total effective rate was 95.00% in the observation group and 67.50% in the control group, with a statistical difference （P 〈 0.05）; the NIH-CPSI score was obviously lower than that before the treatment in the observation group （P 〈 0.05）, markedly lower in the observation group than in the control group（P 〈 0.05）, but not statistically different from that before the treatment in the control group; the white blood cell count in prostatic fluid was significantly lower than that before the treatment in both groups, with statistical differences （P 〈 0.05）, but was better in the observation group than in the control group, with a statistical difference （P 〈 0.05）.Conclusions Pelvic floor muscle training combined with medicine in the treatment of type III prostatitis is more effective than noly drug treatment. It is simple and worth being clinically generalized.